Abstract

Extracted from text ... Steroids
Intra-articular steroids are useful and
effective if only 1 - 2 joints are
involved. In polyarticular involvement
where NSAIDs/colchicine is contraindicated,
intramuscular or oral
steroids are alternatives, e.g. prednisone
0.5 mg/kg daily, weaning over
7 - 10 days. It is important to use lowdose
NSAIDs or colchicine to prevent
rebound flare-up once steroids are discontinued.
Intercritical period (between
flares)
After the initial flare-up the patient
may remain asymptomatic for many
years. Therefore there is no need for
ULDs, but over time these asymptomatic
periods become shorter.
Chronic gout
This is characterised by more than 2
acute attacks per ..